| NPI | 1568824498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ONG PO General Practitioner 717-569-7319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS029935L) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA DS029935L) |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2016-03-28 |